Registration Form

Please fill out this form, for football pickem 2008

*First Name:

*Last Name:

HomeTown:

*Email:

You don't have to play the survivor pool Cost is $25.00 Click the box if playing.

Weekly & Year pay outs  Open 2008

Phone Number:

Phone number is for me to call you half hour before the dead line. no phone no warning.

You can play this one 4 times and don't have to play in my football pickem pool.

Add nick namese for each entry

*Pass word:

Need a Pass Word when you submit your picks

Option Survivor #1 $25.00  #2 entry, #3 entry, #4 entry

-----------No Thanks-------1 entry $25.002 entry $50.003 entry $75.004 entry $100.00

Weekly and yearly Football pickem